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1710353917
NATHAN WALLACE
REDDING, CA
NPI
1710353917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2015-08-11
Last Update Date
2024-01-30
Business Address
NATHAN WALLACE
2608 VICTOR AVE STE A
REDDING, CA 96002-1447
Phone number: 530-722-1022
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Mailing Address
NATHAN WALLACE
PO BOX 950
RED BLUFF, CA 96080-0950
Phone number: 530-528-2938
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